HomeMy WebLinkAboutBuilding Permit Application ALL APPAALEE �INF MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
r] Permit Number:Date /
Building Permit-Application MAY 8 1 -201
Planning and Development Services
Building and Code Regulation Division
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2300 Virginia Avenue,Fort Pierce FL 34982 St. Lucie co,_ .:
Phone: (772)462=1553 Fax: (772)462-1578 Commercial ReSidiantial X
PERMIT APPLICATION FOR:. Other
PROPOSED IMPROVEMENT LOCATION:
Address: 10 ALTA LOMA
Legal Description:-SECTION 26/TOWNSHIP 36s, RANGE 40e .
Property Tax ID#: 3414-501-1701-000/9 Lot No.:
Site Plan Name: SPANISH LAKES ONE Block No.
Project Name:
Setbacks Front 23' Back: 26' Right Side: 127' Left Side:- 1,22"
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DETAILED DESCRIPTION OF WORK:
DRIVEWAY - 80X12
250OPSI -4" THICKNESS
THE DRIVEWAY DOES NOT BUTT UP TO THE MOBILE HOME
CONSTRUCTION INFORMATION: i
Additi,onal work to be performed, under this permit—check all that appy:
HVAC. Gas Tank Gas Piping _Shutters Q Windows/Doors
Electric 0 Plumbing Sprinklers Generator Roof
Total Sq:Ft of Construction: 960
Sq. Ft.of first Floor:
Cost of Construction:$ 2,016.00 Utilities:Sewer O.Septic Building.Height: i.
OWNER/LESSEE: CONTRACTOR:
Name WYNNE BUILDING CORPORATION Name: MATTHEW LYLE WYNNE
Address:8000 SOUTH US HWY. 1 SUITE 402 Company: WYNNE DEVELOPMENT CORPORATION
City: PORT ST. LUCIE State:FL Address: 8000 SOUTH US HWY. 1 SUITE 402
Zip Code: 34952' Fax:(772)878-7656 City: PORT.ST. LUCIE . . State:FL-
Phone.N_o.(772)878-5513 Zip Code: 34952 Fax: (772)878-7656
E-Mail: Phone No. (772)878-5513
Fill in fee simple Title Holder on next page(if different E-Mail:
from the Owner listed above) State or County Licenser 8898
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
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DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: BRAZEN&BRADEN Name:
Address:417 COCONUT AVE. Address:
City: STUART State: FL City: State:
Zip: 34996 Phone: (772)2B7-8258 Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: -Not Applicable
Name: Name:
Address:. Address:
City: City:
Zip: Phone: Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St.Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules,bylaws or and covenants that may restrict or prohibit such
structure.Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
Inconsideration of the granting of this requested permit, I do hereby agree that I will,in all respects, perform the work
in accordance with the approved plans,the Florida Building Codes and St.Lucie County.Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use
WARNING TO OWNER:Your failure to Record a Notice of Commencement may result,in your paying twice for
improvements to your property.A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing,consult with lender or an attorney before
commencing work or recording our Notice of Commencement.
Signature of Owner/Agent/Lessee Signature of Contractor/License Holder
STATE OF COUNTY OFORIDA S,f LUGL e- COUNTY OF STATE OF FLORIDA
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The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before-me
this,-iQ day of 20 20 by
Gt h n ae-
(Name of person acknowl ng) (Name of person acknowle g) IV
(Signature of Notary Public-State of Florida) (Signature of Notary
yPublic-State of Florida)
Personally Known C OR Produced Identification Personally Known — OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No."--q b C mission No.
o�apr Pu Notary Public State of Florid
PYO, of Notary Public State of Florida
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• < m commiss c a a My sionFF 978545
Revised 07/15/2014 �o pjtes 0512512020
OF OF�o� Expires 05125!2020
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE - MANGROVE
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